JENNIFER YIN (OD) – Optometrist, NPI 1023742574

JENNIFER YIN (OD) is a healthcare provider. based in Cumming, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT003424 (GA). The NPI Number for JENNIFER YIN (OD) is 1023742574

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER YIN (OD)
NPI
1023742574
Phone
(678) 737-4616
Address
1034 Haw Creek Cir Ste 100
Enumeration Date
11 July 2022
Last Update Date
11 July 2022

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
7708797967
Graduation Year
2022 (4 years ago)
PAC ID
2769832476
Group Practice PAC ID
2567455868
Professional Enrollment ID
I20231221000702
Address ID
GA300873439ST5295XHWYX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for JENNIFER YIN (OD)

  • 1034 Haw Creek Cir Ste 100

    Cumming, GA 300416513

    Phone: (678) 737-4616

    Type: Location

  • 272 WINDSONG LN SW

    LILBURN, GA 300473950

    Phone:

    Type: Mailing

  • 1250 SCENIC HWY STE 1700

    LAWRENCEVILLE, GA 300457823

    Phone: (678) 853-7715

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $342.

Total Amount is formed as General ($342) + Research ($0) + Ownership ($0) = $342.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Alcon Vision LLC ($126).

Total Amount

$342

General + Research + Ownership

Payments

4

Total payment records

General Amount

$342

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231221000702IOptometryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30041)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567455868View full group profile
NameSpecialtyState
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YGA
O P T O M E T R YMI
O P T O M E T R YGA
O P T O M E T R YGA
O P H T H A L M O L O G YFL
O P T O M E T R YGA
O P T O M E T R YGA
O P H T H A L M O L O G YGA
O P T O M E T R YGA

Reviews

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Frequently asked questions

How is JENNIFER YIN (OD) identified in CMS data?
CMS-hosted NPPES data lists JENNIFER YIN (OD) with NPI 1023742574.
Is JENNIFER YIN (OD) listed as active for patients and plans?
The listing shows JENNIFER YIN (OD) as active in the NPI system.
What is JENNIFER YIN (OD) best known for clinically?
Directory data describes JENNIFER YIN (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Does JENNIFER YIN (OD) list a practice location?
Patients near Cumming, Georgia may find JENNIFER YIN (OD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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